Provider Demographics
NPI:1225407562
Name:SHUEY, DANA LOUISE (CNP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LOUISE
Last Name:SHUEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARENOW
Mailing Address - Street 2:12840 IH-10 WEST SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2619
Mailing Address - Country:US
Mailing Address - Phone:210-817-8490
Mailing Address - Fax:
Practice Address - Street 1:12840 W INTERSTATE 10 STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2361
Practice Address - Country:US
Practice Address - Phone:210-817-8490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043247363L00000X
OR201507979NP-PP363L00000X
WAAP60598016363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8957389Medicare UPIN